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DR. PADRICA HOPKINS-MENCHION MD
NPI 1306824800
Internal Medicine - Hematology & Oncology in Stockbridge, GA

Active since January 04, 2006PECOS EnrolledAccepts Medicare Assignment
68.38/100
CMS Quality Rating
1045 SOUTHCREST DR STE 200, STOCKBRIDGE, GA 30281(678) 289-0549(678) 289-8756 Get Directions Write a Review

NPPES record last updated: August 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2020, Apr 7, 2020 (2 updates tracked since 2020).

About Dr. Padrica Hopkins-menchion Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PADRICA HOPKINS-MENCHION MD (NPI 1306824800) is an individual hematology & oncology provider in Stockbridge, Georgia, licensed in Georgia (047446) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Wellstar Spalding Medical Center, and is a graduate of University Of Florida College Of Medicine (1990).

NPPES Registry Identity

NPI1306824800
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. PADRICA HOPKINS-MENCHIONCredential: MD
Location Address1045 SOUTHCREST DR STE 200Stockbridge, GA 30281-6113
Mailing Address1835 Savoy Dr, Suite 300Atlanta, GA 30341-1072 · (678) 289-0549 · Fax (678) 289-8756
Phone(678) 289-0549
Fax(678) 289-8756
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1990
Enumeration DateJanuary 4, 2006
Last NPPES UpdateAugust 24, 20202 updates tracked since enumeration
NPPES CertifiedAugust 24, 2020
✔ NPI 1306824800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in GA · 047446
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1045 SOUTHCREST DR STE 200, Stockbridge, GA 30281
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Other Identifiers 1

Medicaid000852057GGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Padrica Hopkins-menchion Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123031952
PECOS Enrollment IDI20080303000189
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
195 services115 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
20 services16 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
19 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar Spalding Medical Center

Acute Care Hospitals · Griffin, GA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number110031
Location601 South 8th StreetGriffin, GA 30224 · Spalding County
Emergency services Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Piedmont Henry Hospital

Acute Care Hospitals · Stockbridge, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110191
Location1133 Eagle's Landing ParkwayStockbridge, GA 30281 · Henry County
Emergency services Birthing friendly

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30281 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

68.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.82
Improvement Activities40
Cost40.24

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ALICIA DENISE WILLIAMS COOPER PHARMD
Pharmacist
1045 SOUTHCREST DR STE 200
STOCKBRIDGE, GA 30281
Henry County (678) 289-0549
MOYOSORE M. SULEIMAN MD
Internal Medicine (Hematology & Oncology)
1045 SOUTHCREST DR STE 200
STOCKBRIDGE, GA 30281
Henry County (678) 289-0549
DR. JORGE A SPINOLO MD
Internal Medicine (Hematology & Oncology)
1045 SOUTHCREST DR STE 200
STOCKBRIDGE, GA 30281
Henry County (678) 289-0549

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Padrica Hopkins-menchion's NPI number?

The NPI number for Padrica Hopkins-menchion is 1306824800. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Padrica Hopkins-menchion located?

Padrica Hopkins-menchion practices at 1045 Southcrest Dr Ste 200, Stockbridge, GA 30281. The listed phone number is (678) 289-0549.

What is Padrica Hopkins-menchion's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Padrica Hopkins-menchion enrolled in Medicare?

Yes. Padrica Hopkins-menchion is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Padrica Hopkins-menchion accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Padrica Hopkins-menchion as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Padrica Hopkins-menchion affiliated with any hospitals?

According to CMS data, Padrica Hopkins-menchion is affiliated with Wellstar Spalding Medical Center, Northside Hospital, Piedmont Henry Hospital and Piedmont Fayette Hospital.

When was this NPI record last updated?

The NPPES record for Padrica Hopkins-menchion was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.